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de la Rosa IA, Huang J, Gard CC, McDonald JA. Examining the Prevalence of Peripartum Depressive Symptoms in a Border Community. WOMEN'S HEALTH REPORTS (NEW ROCHELLE, N.Y.) 2021; 2:210-218. [PMID: 34235508 PMCID: PMC8243707 DOI: 10.1089/whr.2020.0105] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Accepted: 05/24/2021] [Indexed: 11/12/2022]
Abstract
Introduction: Depression is one of the most common complications in pregnancy, affecting 10% to 20% of women. Untreated peripartum depression increases the risk of adverse life events, more considerable distress, homelessness, and illness later in life. This study explored the prevalence of peripartum depression and associated demographic characteristics in a population of low-income, Healthy Start program participants in one New Mexico county along the U.S.-Mexico border where knowledge of depression prevalence is lacking. Materials and Methods: Healthy Start caseworkers routinely administered the 10-item Edinburgh Postnatal Depression Scale (EPDS) to all pregnant and recently pregnant program participants between 2009 and 2017. Scores for the first prenatal screen, first postpartum screen, and all screens for 1453 women were studied. A score of >10 points out of a possible 30 indicated a positive screen. Screening outcome was examined in relation to age, race, ethnicity, primary language, and trimester of the prenatal screen. Crude and adjusted odds ratios were generated from logistic regression models. Results: Overall, 16.4% of women screened positive for depression. English-speaking women, non-Hispanic white women, and those ages >35 years were more likely to screen positive. Women >35 years also had higher odds of reporting thoughts of self-harm than younger women. Conclusion: In this low-income border population, non-Hispanic white, English-speaking women over the age of 35 were at the greatest risk of peripartum depression. These findings underscore the need for peripartum depression screening in this population.
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Affiliation(s)
- Iván A. de la Rosa
- School of Social Work, Southwest Institute for Health Disparities Research, New Mexico State University, Las Cruces, New Mexico, USA
| | - Junxin Huang
- Department of Economics, Applied Statistics, and International Business and Southwest Institute for Health Disparities Research, New Mexico State University, Las Cruces, New Mexico, USA
| | - Charlotte C. Gard
- Department of Economics, Applied Statistics, and International Business and Southwest Institute for Health Disparities Research, New Mexico State University, Las Cruces, New Mexico, USA
| | - Jill A. McDonald
- Department of Public Health Sciences, Southwest Institute for Health Disparities Research, New Mexico State University, Las Cruces, New Mexico, USA
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Horyniak D, Pinedo M, Burgos JL, Ojeda VD. Relationships Between Integration and Drug Use Among Deported Migrants in Tijuana, Mexico. J Immigr Minor Health 2018; 19:1196-1206. [PMID: 27778138 DOI: 10.1007/s10903-016-0518-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Deported migrants face numerous challenges which may elevate their risk for drug use. We examined relationships between integration and drug use among deported migrants in Tijuana, Mexico. A cross-sectional survey conducted at a free health clinic included 255 deported Mexican-born migrants residing in Tijuana ≥6 months. Multivariable logistic regression examined associations between variables across four integration domains (public participation, social connections, macro-level facilitators and foundations) and recent (past 6-month) drug use. The prevalence of recent drug use was 46 %. Having sought work in Tijuana in the past 6 months, greater household affluence, lifetime history of incarceration in both US and Mexico, and lacking health insurance were independently associated with recent drug use. Policies that support access to employment, adequate housing and healthcare in Mexico, particularly for justice-involved deportees, may facilitate successful integration and reduce potential stressors that may contribute to drug use.
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Affiliation(s)
- Danielle Horyniak
- Division of Global Public Health, School of Medicine, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA
- Centre for Population Health, Burnet Institute, Melbourne, VIC, 3004, Australia
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, 3004, Australia
| | - Miguel Pinedo
- Alcohol Research Group, University of California Berkeley, Emeryville, CA, 94608, USA
| | - Jose Luis Burgos
- Division of Global Public Health, School of Medicine, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA
| | - Victoria D Ojeda
- Division of Global Public Health, School of Medicine, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA.
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Holguin F, Moughrabieh MA, Ojeda V, Patel SR, Peyrani P, Pinedo M, Celedón JC, Douglas IS, Upson DJ, Roman J. Respiratory Health in Migrant Populations: A Crisis Overlooked. Ann Am Thorac Soc 2017; 14:153-159. [PMID: 28146384 PMCID: PMC5427732 DOI: 10.1513/annalsats.201608-592ps] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2016] [Accepted: 11/02/2016] [Indexed: 01/04/2023] Open
Abstract
The crisis in the Middle East has raised awareness about the challenges encountered by migrant populations, in particular, health-care access and delivery. Similar challenges are encountered by migrant populations around the world, including those entering the United States as refugees and/or survivors of torture as well as Mexicans and other Latin Americans crossing the border. During the 2016 International American Thoracic Society Meeting held in San Francisco, California, a group of researchers and health-care providers discussed these challenges at a minisymposium devoted to the respiratory health of migrants. The discussion focused on the increased incidence of airway diseases among individuals migrating to more developed countries, the problems created by sleep disorders and their implications for cardiovascular and mental health, the challenges inherent in the control of infections in refugee populations, and the problems resulting from deportation. The group also discussed the potential impact of novel strategies made available by Internet-based technologies and how these strategies could be deployed to support worldwide efforts in assisting migrants and refugees, even in countries that find themselves in the direst circumstances. These presentations are summarized in this document, which is not meant to be exhaustive, but to improve awareness about the challenges confronted by migrants and their host nations regarding respiratory health-care access and delivery, and about the need for adequate investment of resources to better define these challenges through research and for the development of efficient strategies for intervention.
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Affiliation(s)
- Fernando Holguin
- Pulmonary Sciences, Department of Medicine, University of Colorado, Denver, Colorado
| | - M. Anas Moughrabieh
- Division of Pulmonary and Critical Care, Department of Medicine, Wayne State University, Detroit, Michigan
| | - Victoria Ojeda
- Division of Global Public Health, Department of Medicine, University of California, San Diego, San Diego, California
| | - Sanjay R. Patel
- Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Paula Peyrani
- Division of Infectious Diseases, Department of Medicine, University of Louisville Health Sciences Center, Louisville, Kentucky
| | - Miguel Pinedo
- Alcohol Research Group, University of California, Berkeley, Berkeley, California
| | - Juan C. Celedón
- Division of Pulmonary Medicine, Allergy and Immunology, Department of Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Ivor S. Douglas
- Division of Pulmonary and Critical Care, Department of Medicine, Denver Health Medical Center, University of Colorado, and Anschutz Medical Center, Denver, Colorado
| | - Dona J. Upson
- Division of Pulmonary and Critical Care, Department of Medicine, New Mexico Veterans Affairs Health Care Services, Albuquerque, New Mexico; and
| | - Jesse Roman
- Division of Pulmonary, Critical Care, and Sleep Disorders, Department of Medicine and Department of Pharmacology, University of Louisville Health Sciences Center and Robley Rex Veterans Affairs Medical Center, Louisville, Kentucky
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